Managing schizophrenia in primary care: the utility of remission criteria as outcome indicators

Authors: Fear, Christopher1; Yeomans, David2; Moore, Bryan3; Taylor, Mark4; Ford, Keith5; Currie, Alan6; Hynes, Joanne7; Sullivan, Gary8; Whale, Richard9; Burns, Tom10

Source: Mental Health in Family Medicine, Volume 6, Number 2, June 2009 , pp. 107-112(6)

Publisher: Radcliffe Publishing Ltd.

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Abstract:

The shared management of patients with schizophrenia in primary care can only succeed if underpinned by valid, easily administered and clinically relevant outcome measures. While conditions such as depression and anxiety lend themselves to this approach through the development, over a number of years, of patient- and observer-rated scales, schizophrenia still lacks the capacity for meaningful outcome measures. Recently, two international working groups have developed the concept of remission in schizophrenia and recommended a simple, brief and clinically valid measure based upon improvement in key symptoms over a specified time period. The authors consider this concept and its application to primary care both as a commissioning tool and to facilitate shared care of this chronic medical condition.

Keywords: OUTCOME MEASURES; REMISSION CRITERIA; SCHIZOPHRENIA; SHARED CARE

Document Type: Research article

Affiliations: 1: Gether Foundation NHS Trust, Gloucester, UK 2: Leeds Partnerships Foundation NHS Trust, Leeds, UK 3: St Mary's Hospital, Warrington, UK 4: NHS Greater Glasgow & Clyde Ballenden House, Edinburgh, UK 5: Tees, Esk & Wear Valleys NHS Foundation Trust, Hartlepool, UK 6: Northumberland Tyne and Wear NHS Trust, Newcastle-upon-Tyne, UK 7: United Hospitals NHS Trust, Belfast, UK 8: Professor and Consultant Psychiatrist, Cwm Taf NHS Trust, Aberdare, UK 9: Sussex Partnership NHS Trust, Brighton, UK 10: Consultant Psychiatrist and Professor of Psychiatry, University of Oxford, UK

Publication date: 2009-06-01

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